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Cancer Alliance explores legal options to compel public/private treatment partnership

Cancer activists are exploring legal options to compel the government to deal with treatment backlogs in Gauteng by partnering with the private sector, reports MedicalBrief. The move comes as the country faces its third high-profile cancer-care crisis in four years.

Mail & Guardian, writes that the April fire that forced Johannesburg’s Charlotte Maxeke Academic Hospital to close its oncology unity affects some 2,500 chemotherapy patients monthly. Another 2,500 patients pass through its radiation oncology unit, but only 300 are actually given radiation each month, the provincial health department said in May.

Although activists say chemotherapy services are getting back on track, almost 1,200 cancer patients are still awaiting radiation therapy two months after the fire, putting them at risk of relapsing. Most of them are prostate cancer patients, who are receiving hormone therapy to help to control the cancer while they wait for chemotherapy.

Patients who have had chemotherapy or who have had surgery to remove cancers are at risk of cancers coming back if they wait more than eight weeks for scheduled radiation, warns Dr Prinitha Pillay, a radiation oncologist in the private sector.

Gauteng Health maintained in May that new cancer patients were being seen within two to three weeks of diagnosis. But patient advocacy group the Cancer Alliance says the waiting time for radiation therapy is closer to months or years. “You are sending those patients home to die,” says the alliance’s Salomé Meyer.

The fire left a wake of what Meyer calls “unco-ordinated chaos” in cancer care and revealed for the third time in almost as many years the dangers of an overly centralised system that relies almost solely on the state. The country last saw major provincial cancer-treatment crises in 2017 in KwaZulu-Natal and in Gauteng in 2018.

Cancer Alliance chairperson Linda Greeff says there are now backlogs in three provinces. And only about 10 state hospitals provide radiation oncology services. She estimates there are more than 100 private oncology centres.

South Africa diagnoses about 42,000 cancer cases annually, based on the latest publicly available figures from 2017. But cases, and deaths, remain under-reported. The COVID-19 outbreak has made the situation worse.

The Cancer Alliance is adamant that the state must turn to the private sector to increase access to cancer treatment. Nationally, at least four radiation oncology public-private partnerships have sprung up in the past decade, but the alliance says the country needs more, including in Gauteng and even after the understaffed Charlotte Maxeke hospital reopens.

In May, that province’s health department released a statement saying it was in discussions with a major hospital group to possibly provide radiation services. The hospital also said it would be hiring four additional radiation oncologists by the end of July and that the province planned to build cancer care facilities at other less-specialised hospitals.

The Cancer Alliance says three private oncology groups have offered to provide services to the state but the state of discussions remains unclear.


Full story in Mail & Guardian (Open access)


See also from the MedicalBrief archives:


KZN Health snubs NGO offer of free mobile mammography


DA: Health MEC's reply highlights dire situation at Charlotte Maxeke cancer unit


Oncology at Charlotte Maxeke to open following SAHRC intervention


SA has 20% fewer oncologists than two years ago


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